Tools for More Accurate Inpatient Cost Estimates with HCUP ...

More documents

Recommendations

Info

UB-04 Revenue CodeCluster083x: Peritoneal Dialysis -OP or home OANC084x: Continuous ambulatory peritoneal dialysis (CAPD) -OP or home OANC085x: Continuous cycling peritoneal dialysis (CCPD) -OP or home OANC088x: Dialysis -Miscellaneous THER089x: Reserved ANC090x: Behavioral Health Treatment CLIN091x: Behavioral Health Treatment CLIN092x: Other Diagnostic Services CLIN093x: Medical Rehab Day Program LTC094x: Other Therapeutic Services THER095x: Other Therapeutic Services THER096x: Professional Fees Ignore097x: Professional Fees Ignore098x: Professional Fees Ignore099x: Convenience Items Ignore100x: Behavioral Health Accommodations LTC310x: Adult Care LTCOut of range --- MOSTLY VIRGINIA ignoreTable A2: Map of Arizona Bucket Charges to <strong>Cost</strong>-Center ClustersCHGn DescriptionUB-04RevenueCodes ClusterCHG1 All Inclusive Room and Board 10x RBUCHG10 ICU 20x SCUCHG11 CCU 21x SCUCHG12 Special Charges 22x SCUCHG13 Incremental Nursing Charges 23x SCUCHG14 All Inclusive Ancillary 24x ANCCHG15 Pharmacy 25x DRUGCHG16 IV Therapy 26x THERCHG17 Medical/Surgical Supplies and Devices 27x ORCHG18 Oncology 28x OANCCHG19 DME (Other than renal) 29x CLINCHG2 Room and Board, Private 11x RBUCHG20 Laboratory 30x LABCHG21 Laboratory Pathology 31x LABCHG22 Radiology, Diagnostic 32x RADCHG23 Radiology, Therapeutic 33x RADCHG24 Nuclear Medicine 34x RADCHG25 CT Scan 35x RADCHG26 Operating Room 36x OR12
CHGnDescription13UB-04RevenueCodesCHG27 Anesthesia 37x ORClusterCHG28 Blood 38x OANCCHG29 Blood Storage/Processing 39x OANCCHG3 Room and Board, Two Beds 12x RBUCHG30 Other Imaging 40x RADCHG31 Respiratory Services 41x THERCHG32 Physical Therapy 42x THERCHG33 Occupational Therapy 43x THERCHG34 Speech Therapy 44x THERCHG35 Emergency Room 45x ORCHG36 Pulmonary Function 46x THERCHG37 Audiology 47x OANCCHG38 Cardiology 48x OANCCHG39 Outpatient Services 50x CLINCHG4 Room and Board, 3-4 Beds 13x RBUCHG40 Osteopathic Services 53x CLINCHG41 MRI 61x RADCHG42 Medical Surgical Supplies (extension of27x) 62x ORCHG43 Pharmacy (extension of 25x) 63x DRUGCHG44 Trauma Response 68x CLINCHG45 Cast Room 70x THERCHG46 Recovery Room 71x ORCHG47 Labor/Delivery Room 72x NURCHG48 EKG/ECG 73x RADCHG49 EEG 74x RADCHG5 Private (Deluxe) 14x RBUCHG50 Gastro Intestinal Services 75x OANCCHG51 Treatment/Observation Room 76x ORCHG52 Preventive Care Services 77x CLINCHG53 Telemedicine 78x CLINCHG54 Extra-Corporeal Shock Wave Therapy 79x THERCHG55 <strong>Inpatient</strong> Renal Dialysis 80x THERCHG56 Organ Acquisition 81x OANCCHG57 Miscellaneous Dialysis 88x THERCHG58 Behavioral Health Treatment/Services 90x CLINCHG59 Behavioral Health Treatment/Services (extension of 90x) 91x CLINCHG6 Room and Board, Ward 15x RBUCHG60 Other Diagnostic Services 92x LABCHG61 Other Therapeutic Services 94x THERCHG62 Other Therapeutic Services (extension of 94x) 95x THERCHG63 Professional Fees 96x IgnoreCHG64 Professional Fees (extension of 96x) 97x IgnoreCHG65 Professional Fees (extension of 96x & 97x) 98x Ignore
Page 1 and 2: HCUP Methods Series
Page 3 and 4: TABLE OF CONTENTSEXECUTIVE SUMMARY
Page 5 and 6: EXECUTIVE SUMMARYBackgroundThe Agen
Page 7 and 8: possible to form a more accurate es
Page 9 and 10: Cluster #ClusterAbbreviationCMSCost
Page 11 and 12: • A case was considered invalid i
Page 13 and 14: • Appendicitis and other appendic
Page 15: UB-04 Revenue CodeCluster041x: Resp
Page 20 and 21: CHGn Revenue Codes DescriptionClust
Page 22 and 23: CHGn Description UB-92 Revenue Code
Page 24 and 25: CHGn Description UB-92 Revenue Code
Page 26 and 27: DRGDischargesRelativeCostBased onCo
Page 50 and 51: Appendix C: Cost Adjustment Factors
Page 52 and 53: DXCCS1DischargesRelative CostBased
Page 58: Appendix D: ErrataThis report, The

Tools for More Accurate Inpatient Cost Estimates with HCUP ...

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?